Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot105910.32687/0869-866X-2022-30-s1-1050-1054Научная статьяWAYS TO SOLVE THE PROBLEM OF HOME PARENTERAL NUTRITION IN PATIENTS WITH SHORT BOWEL SYNDROMEKuzminaT. N.t.kuzmina@mknc.ruNikolskayaK. A.-AkhmadullinaO. V.-SmirnovaO. A.-KnyazevO. V.-Moscow Clinical Scientific Center named after A. S. LoginovResearch Institute for Healthcare Organization and Medical Management of Moscow Healthcare DepartmentNational Medical Research Centre for Coloproctology named after A. N. Ryzhikh of the Ministry of Health of the Russian Federation1511202230s11050105417112022Copyright © 2022,2022The purpose of the work is to identify the most optimal ways to solve the problem of home parenteral nutrition for patients with short bowel syndrome.Basics. Discussion of the current situation will help optimize the work of the Orphan Diseases Center, lead to a greater introduction of online technology, and aim at the search and implementation of new methods of treating patients in this category.Conclusion. The most optimal strategy has been proposed to improve the interaction between various specialists and patients in need of long-term parenteral nutrition.parenteral nutritionshort bowel syndromenutritionnutritional supportnutritional statusпарентеральное питаниесиндром короткой кишкинутрициологиянутриционная поддержканутриционный статус[Buchman A. L. Etiology and management of short bowel syndrome //j. Gastroenterol. 2006. Vol. 130, Suppl. 2. P. 5-15.][Bielawska B. J., Allard. P. Parenteral nutrition and intestinal failure // Nutrients. 2017. Vol. 9, N 5. P. 466. DOI: 10.3390/nu9050466][Pironi L., Corcos O., Forbes A. et al.Intestinal failure in adults: recommendations from the ESPEN expert groups // Clin. Nutr. 2018. Vol. 37, N 6, Pt. 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